Art Kevin Barretto

Managed insurance verification for four clinics, ensuring patient eligibility and benefits through portal and phone communication. Submitted and tracked authorizations, uploaded documentation to EMR, and handled appeals and reconsiderations. Processed claims, managed accounts receivable, and collected payments from patients and insurance providers.

Posted payments across multiple platforms including Direct bill, Waystar, and MatrixCare, handling both credit card and check transactions. Managed patient intakes and updated demographics within the NET HEALTH system. Ensured patient coverage by verifying eligibility through direct calls to insurance providers and portal checks.

Managed comprehensive medical billing operations, including calculating and collecting payments, and updating patient demographics. Conducted thorough claims reviews to identify and rectify denial reasons, ensuring accurate CPT and diagnosis code usage. Followed up on outstanding claims, managed patient accounts, and processed payments while ensuring proper reimbursement from insurance providers.

Verified insurance coverage and estimated patient financial responsibilities through telephone and online channels. Interpreted medical charts to determine patient eligibility and insurance coverage, including authorization requirements and claim risks. Conducted claims reviews, appeal status inquiries, and managed provider payment reconciliation. Handled high-volume inbound calls, addressing poli

Currently pursuing a Bachelor of Science in Customs Administration. This program focuses on the principles and practices of customs operations and international trade.